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General NPI Number Information
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NPI Number | 1558184101
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Entity Type | Organization
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Legal Business Name | GO ASK DENISE LLC
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 6301 MOUNTAIN VISTA ST STE 208
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City | HENDERSON
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State | NV
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Zip | 89014-2366
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Country | US
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Telephone | 702-810-0082
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Fax |
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Provider Business Mailing Address
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Address Line | 6301 MOUNTAIN VISTA ST STE 208
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City | HENDERSON
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State | NV
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Zip | 89014-2366
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Country | US
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Telephone | 702-810-0082
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DENISE E BOLANOS
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Credential | LMT
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Telephone | 702-810-0082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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